N.J. Admin. Code § 10:44A-1.7

Current through Register Vol. 56, No. 9, May 6, 2024

Section 10:44A-1.7 - Plan of correction

(a) A licensee shall submit a plan of correction regarding all deficiencies within 30 days, or in accordance with a shorter time frame, as established by the Office of Licensing.

1. A shorter time frame shall be established by the Department in those instances where prompt remediation of a deficiency is required in order to protect the health, safety, welfare, and rights of individuals receiving services.

(b) Following receipt of the plan of correction, the Office of Licensing shall conduct an unannounced on-site review to verify the corrective action taken for all deficiencies that pose a risk to the life and safety of the residents.

1. Following an on-site review, the findings of the Office of Licensing regarding the licensee's plan of correction shall be provided to the licensee. These findings shall indicate that each deficiency is corrected, partially corrected, not corrected, or further review is required by the Office of Licensing.

i. Should there be continuing deficiencies, or if new deficiencies are noted that document substantial or willful noncompliance, the findings shall indicate that a second plan of correction is required or that the Office of Licensing may impose a negative licensing action.

2. If a second plan of correction is required by the Office of Licensing, the licensee shall submit the plan of correction within the time frame specified by the Office of Licensing.

(c) Following receipt of the second plan of correction, the Office of Licensing may conduct an onsite review to verify the corrective action taken.

1. Subsequent to an on-site review, the findings of the Office of Licensing regarding the licensee's second plan of correction shall be provided to the licensee. These findings shall indicate whether or not each deficiency is corrected.

i. Should there be continuing deficiencies that the licensee has stated in the plan of correction have been corrected, or if other deficiencies are noted that jeopardize the health, safety, welfare, and rights of the individuals, or that document substantial or willful noncompliance, the Office of Licensing shall impose a negative licensing action.

(d) The Office of Licensing may, when process or systemic problems are identified, require the licensee to submit an action plan and results of the implementation of the action plan, as required at N.J.A.C. 10:44A-2.2(b)22 v.

N.J. Admin. Code § 10:44A-1.7

Amended by R.2003 d.221, effective 6/2/2003.
See: 34 New Jersey Register 4298(a), 35 New Jersey Register 2479(a).
In (a), amended the length which a full license shall be effective from two years to up to one.
Amended by R.2004 d.404, effective 11/1/2004.
See: 36 New Jersey Register 2589(a), 36 New Jersey Register 4961(a).

Adopted by 55 N.J.R. 171(a), effective 2/6/2023